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Home My WebLink AboutPermit Mechanical 2019-10-14OREGON Web Address: www.springfi eld-or. gov Building Permit Commercial Mechanical Permit Number: 81 1-19-002334-MECH IVR Number: 811063072030 City of Springfield Development and Public Work: 225 Fifth Streel Springfield, OR 9747 t 541-726-3753 Email Address: permitcenter@springfield-or.go\ SPRINGFIETD {& Permit Issued: October L4, 20t9 TYPE OF WORK Category of Construction: Residential Type of Work: Alteration Submitted Job Value: $24,000.00 Description of Work: Ductless heatpumps, replace hoods and bath fans 4170,72,74 and76 l-I ,OB SITE INFORTTIATION Worksite Address 4170 DAISY ST Springfield, OR 97478 Parcel t702323303504 Owner: Address: WEST RIVERVIEW INVESTMENTS LLC 92082 MARCOLA RD MARCOLA, OR97454 LICENSED PROFESSIONAL INFORMATION License Owner (Property) License Number OWNER Phone SEE PROPERTY OWNER INFORMATION - Primary PENDING Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Com Mech Com Inspection Status Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www. buildingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811063072030 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits cxpire if work is not started within 18O Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of taws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth an OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (StructuraUMechanical), ORS 479.54O (Electrical), and ORS 693.o1O-O2O (Plumbing). I Permit Number: a1 1-19-002334-MECH Page 2 of 2 Fee Description Technology Fee Commercial mechanical permit (based on mechanical job value) State of Oregon Surcharge - Mech (L2o/o of applicable fees) Quantity Tota! Fees: Fee Amount $19.s 1 $390.20 $46.82 $4s6.53 Printed on: TOlL4lLg Page 2 of 2 C; \myReports/reports//production/0 1 STAN DARE PERMIT FEES SPRINGFIELD r& Transaction Receipt 81 1-19-002334-MECH Receipt Number: 472676 Receipt Date: l0/14l19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 perm itcenter@sprin gfield -or, gov OREGON www. s p ri n gfi eld-or. gov Worksite address: 4170 DAISY ST, Springfield, OR 97478 Parcel: 1702323303504 Fees Paid Iransaction date 10t14t19 10114119 10114t19 Units 1.00 Ea 1.00 Ea 1.00 Automatic Technology Fee Description Commercial mechanical permit (based on mechanical job value) State of Oregon Surcharge - Mech (12% ol applicable fees) Account code 224-00000425604-1 031 821 -00000-21 5004-0000 20 4 -O0 000 - 42560 5-000 0 Fee amount $390.20 $46.82 $19.51 Paid amount $390.20 $46.82 $19.51 'ayment Method Credit card authorization : 19425p Payer: SEE PROPERTY OWNER INFORM Payment Amount:$456.53 3ashier: Chris Carpenter Receipt Total $455.53 )rinted: 10/14l19 9:54 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr II.,L Crry or SpnINGFIEl,u, OREGoN Mechanical Permit Application CATEGORY OF CONSTRUCTION E Residential E Government fi Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: -lt1 O-qt-7L C'Jn(S'r Str City: tf Frr-L-r>State: rt.,,ZIP: Q z Y1-? Reference:Taxlot.: DESCRIPTION OF WORK PROPERW OWNER Name:9*<.v<- G,rr> Address: 9r<;t2 Wr"+,2-t:--a lr- ,tZel City: *" nrrt*, l.r-State: 6,1-_ZIP:Q?Lt \-t-l Phone: saf l - ot i {' 3L6'?Fax: E-mail:L ,r5 Gvo.c-,L , UJ* This installation is made on property owned by me or a family, and is exempt from licensingmember of my immediate requirements under ORS 70 I .0 I 0. INSTALLATION Business name: A ,/ Ot,.lt-l.Zzw Address: City:State Zrc Phone:Fax E-mail CCB license no. Print name Signature: 8\D^*kr**^( \{-^" I"'L--.. &^^-9 $i*--+ DEPARTMENT USE ONLY Permit no.tr Date: / {,1 I lq n SP}IIX6FIELD h ll 225 Fifth Street . Springfield,OR97477 . PH(541)'726-3753 o FAX(54I)726-3689 This permit is issued under OAR 9f 8-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Residentia!Qtv.Cost ea. Total cost First Aooliance u02.00 s Furnace/burner including ducts and vents Up to l00k BTU/hr,$23.00 $ Over 100k BTU/hr.$26.00 $ Heaters/stoves/venfs Unit heater 123.00 $ Wood/pellet/gas stove/fl ue $54.00 $ Evaporated cooler $19.00 $ Vent fan with one duct/appliance <l 1r3.00 $ Hood with exhaust and duct 4 $r9.00 $ Gas pipins One to tbur outlets $9.00 $ Additional outlets (each)$5.00 $ Air-handline units. includins ducts up to 10,000 cFM $1s.00 $ Over 10,000 CFM $26.00 $ Compressor/absorption svstem/heat pumo Up to 3 hp/l00k BTU $23.00 $ Up to l5 hp/500k BTU $41.00 $ Up to 30 hp/l,000 BTU $61.00 $ Up to 50 hpi 1,750 BTU 578.00 $ Over 50 hp/1,750 BTU $132.00 $ Incinerators Domestic incinerator $26.00 $ Commercia! Enter total valuation of mechanical svstem and installation "ort il-%O C' O' Enter fee based on valuatidn of mechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection tr02.00 $ Specially requested inspections (per 0r02.00 $ Regulated equipment (unclassed)019.00 $ Each additional inspection: (l)t102.00 $ DEPARTMENT USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 102.00)$ (B) Investigative fee $ (C) Enter 120% surcharge (. 12 x [A+B])$ (D) Seismic fee,lYo (.01 x [A])$ (E) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through E):$.,tqG"t tast edited 7/l/2019 BJones CERTIFICATE NO.:'1 32 1 553488471 58429 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31 , 2016, Certificate of Product Ratings A!=!l crRilFrED' www.ahridirectory.org AHRI Certified Reference Number :2017549A2 Dale : 10-14-2019 Model Status :Active AHRI Type :HRCU-A-CB-O Series Name : M-Series Outdoor Unil Brand Name : Mitsubishi Electric Ouldoor Unit Model Number : MXZ-3C24NA2 lndoor Type : Non-Ducted lndoor Units Rated as follows in accordance with the latest edition of ANSI/AHFII 2101240 wilh Addenda 1 and 2, Perlormance Rating ol Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subjeci to raling accuracy by AHR|-sponsored, independent, lhird party testing Cooling Capadty (95F) :22000 EER (95F) : 13.60 SEER :20,00 High Heat (47F) : 25000 Low Heat (17F) : 14000 HSPF :9.80 Sold in? : USA for sale.IAIA Q Tha nt r.ti^^ ic ch^run rl^n^ wilh thp nrawinrrq {i a WAS) t,,Aclive,, Model Status are those that an AHRI Certilication Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."production Stopped" Model Status are those thal an AHRI Certification Program Participant is no longer producing BUT is s{ill OISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this oertificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producqs), or the unauthorized alteration of data lbted on this Certificate. Certified ratineF are valid only for models and conligurations lbted in the directory at www.ahridirectory.org. TERMS AI{D COI{DITIOl{S This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or othetwise utilized, in any form or manner or by any means, except for the user's individual, perso nal and confidential reference. CERTIF!CATE VERIFICATION The information for the model cited on this certificate can be verified at www,ahridirectory,org, click on 'Verify Certlflcate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which b lbted above. and the Certificate No., which is listed at bottom rlght. @201 gAir-Conditionin$, Heatin$, and Refri$eration lnstitute xnooilDmor{|ilo, HEAnxo,t REFntoEn^noil lttgTtrut'E rre mala life batts- U ,